Skin Integrity and Wound Care: analyze cue and prioritize hypotheses; plan and generate solutions

Which categories can the nurse use to organize and link the patient's skin integrity cues? 1. type of wound 2. type of wound bed tissue 3. type of infection 4. unexpected assessment findings 5. unexpected lab findings - of wound 2. type of wound bed tissue 3. unexpected findings from assessment 4. findings from laboratory or diagnostic tests, or a combination of these. Which components are likely damaged when the nurse chooses the hypothesis Impaired Skin Integrity for a patient? 1. Dermis 2. Bone 3. Muscle 4. Tendon 5. Epidermis 6. Subcutaneous tissue - answer-1. dermis 2. epidermis Which hypothesis would the nurse select for a patient with a breakdown in the dermis from external forces? 1. Impaired Skin Integrity 2. Risk for Impaired Skin Integrity 3. Impaired Tissue Integrity 4. Burn Wound - answer-1. Impaired skin integrity Which patient would th